| NPI | 1275787327 |
|---|---|
| Former Name | GABRIELLE GERMAINE KAUTZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7640) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15582) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2012-10-10 |